Individual provider · Type 1 NPI
Nicolette Sullivan, CTRS
Recreation Therapist · Oswego, NY
NPI number
1609395714
Active
Practice location
159 W 1st St
Oswego, NY 13126-2045
Mailing address
309 Crenshaw Ct
Camillus, NY 13031-2041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 69933 (NY) |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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- Abigail Eileen SpeerSpecialist Oswego, NY NPI 1073450672
- Abigail I. JacksonSpecialist Oswego, NY NPI 1972420339
- Abigail Zevgolis, PTAPhysical Therapy Assistant Oswego, NY NPI 1861272841
- Adam KinneyOccupational Therapist Oswego, NY NPI 1164815411
- Alaina Belle AllenSpecialist Oswego, NY NPI 1194536540
- Alajah Person, COTAOccupational Therapy Assistant Oswego, NY NPI 1851015473
- Alan Knight, PTAPhysical Therapy Assistant Oswego, NY NPI 1821241019
About NPI 1609395714
Nicolette Sullivan, CTRS's National Provider Identifier is 1609395714, issued on Sep 11, 2017. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Oswego, NY. The record was last updated on Sep 11, 2017.